Anderson, Oreta Gayle

Anderson, Oreta Gayle is an individual health care provider with primary practice located at 1105 S Sunswept St , Union City TN 38261-4370. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Oreta Gayle can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
1105 S Sunswept St Union City TN 38261-4370
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000004090 Tennessee

Profile Details

NPI number 1083706196
LBN Legal business name Anderson, Oreta Gayle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jan 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083706196 NPPES
Tennessee MEDICAID 3925799
Tennessee Other 4051317

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